Active NPIIndividual providerSole proprietor

Oluwatayo Edwards

Nurse Practitioner, Psych/Mental Health in Auburn, Massachusetts

NPI Number1265148753
Practice location
11 Midstate Dr Ste 3, Auburn, MA 01501-1882
Fax
—
Last updated
October 12, 2026

Oluwatayo Edwards is a Nurse Practitioner, Psych/Mental Health based in Auburn, MA. Oluwatayo Edwards practices in Auburn, MA. The NPI Number for Oluwatayo Edwards is 1265148753 and holds a License No. 11662 (CT). The current practice location address for Oluwatayo Edwards is 11 Midstate Dr Ste 3, Auburn, MA 01501-1882 and can be reached out via phone at 781-551-0999.

Provider Profile Details

NPI Number
1265148753
Provider Name
Oluwatayo Edwards
Provider Entity Type
Individual
Gender
Female
Address
11 Midstate Dr Ste 3, Auburn, MA 01501-1882
Phone Number
781-551-0999
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
January 27, 2023
Last Update Date
October 12, 2026
Certification Date
October 12, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Midstate Dr Ste 3
Auburn, MA 01501-1882
City
Auburn
Zip
01501-1882
Phone Number
781-551-0999
Auburn, MA 01501Get directions →

Provider Business Mailing Address Details

Address
11 Midstate Dr Ste 3
Auburn, MA 01501-1882
City
Auburn
State
MA
Zip
01501-1882
Phone Number
781-551-0999

License Information

License Number (1)
11662
License State (1)
CT
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
145691
License State (2)
CT
Taxonomy (2)
Registered Nurse, Psych/Mental Health · 163WP0808X
License Number (3)
RN2359413
License State (3)
MA
Taxonomy (3)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Nurse Practitioner, Psych/Mental Health providers near Auburn, MA

View all Nurse Practitioner, Psych/Mental Health providers in Auburn →

Frequently Asked Questions

What is the NPI number of Oluwatayo Edwards?

The NPI number of Oluwatayo Edwards is 1265148753. It was assigned on January 27, 2023 and is currently active in the NPPES registry.

What is the specialty of Oluwatayo Edwards?

Oluwatayo Edwards is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 11662.

Where does Oluwatayo Edwards practice?

The practice location is 11 Midstate Dr Ste 3, Auburn, MA 01501-1882. The office can be reached at 781-551-0999 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265148753 directly on the NPPES registry website.

Browse related providers